Provider Demographics
NPI:1972009942
Name:EL-ZOKM MEDICAL
Entity Type:Organization
Organization Name:EL-ZOKM MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-ZOKM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-703-9524
Mailing Address - Street 1:12727 KIMBERLEY LN STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4050
Mailing Address - Country:US
Mailing Address - Phone:713-522-4411
Mailing Address - Fax:713-722-8998
Practice Address - Street 1:12727 KIMBERLEY LN STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-522-4411
Practice Address - Fax:713-722-8998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-30
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty